Suspect arraigned over alleged Sh11m fraudulent SHA claims

Detectives from the Directorate of Criminal Investigations (DCI) arrested a clinic owner accused of fraudulently claiming more than Ksh11 million from the Social Health Authority (SHA) through irregular medical practices and false billing.

In a statement on Monday, March 9, the agency said the suspect, identified as Mishael Otieno Okumu, appeared in court following investigations linking him to fraudulent activities at a medical facility in Nairobi’s Pipeline area.

According to the DCI, investigations uncovered multiple irregularities tied to the operations of the health facility run by the suspect.

“Investigations established that the suspect is the director of a facility located in the Pipeline area of Nairobi County that was involved in several irregular practices, including suspicious admission patterns, use of expired or unauthorized practitioner credentials, false patient admissions and fraudulent billing, among other illegalities that enabled the submission of the fraudulent claims,” the statement read.

Detectives stated that the charges filed against the suspect relate to several criminal offences connected to the alleged fraud.

“The suspect and Salama Yard Medical Center Laboratory and Maternity Services were charged with seven offences, including obtaining registration by false pretence contrary to section 320 of the Penal Code, making a false statement and falsification of documents contrary to section 48 (1) (c) of the SHA Act,” the statement added.

The DCI also said the suspect faces additional charges under laws dealing with proceeds of crime and money laundering.

“He was also charged with acquisition of proceeds of crime contrary to section 4 (a), as read with section 16 (1) (b) of the Proceeds of Crime and Anti-Money Laundering Act (POCAMLA), and use of proceeds of crime contrary to section 4 (b), as read with section 16 (1) (b) of POCAMLA,” the statement continued.

According to the DCI, during court proceedings, Okumu denied the charges leveled against him to which the court ordered that he be remanded as the case continue.

“Mishael pleaded not guilty and was remanded at Capitol Hill police station pending the issuance of bail and bond terms on 16 March 2026, after the presentation of a probation report,” the statement concluded.